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H & H Stone <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1998080 <br />Receipt #: 14175 <br />Date: 11/27/2012 <br />Permit: M1998080 <br />R evenue Co <br />ri etes Amoutt <br />2153 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1998 -080, Paid by McCloud Stone <br />over p4 I ot 12 y <br />$363.00 <br />Receipt Total: I $363.00 I <br />Page 1 of 1 <br />